Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013 2014 2015

Details for Mechanism ID: 7524
Country/Region: Zimbabwe
Year: 2013
Main Partner: John Snow, Inc
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $420,000

The DELIVER PROJECT designs, develops, strengthens and, upon request, operate safe, reliable, and sustainable supply systems that provide a range of affordable, quality essential health commodities including drugs, diagnostics and supplies to clients in country programs. Field missions are seeking supply chain systems that are designed to handle a range of health products, including contraceptives and condoms, essential drugs, and select commodities for HIV/AIDS, malaria, maternal and child health, and infectious diseases. This contract seeks to strengthen supply systems for all essential health commodities and create environments that are conducive to their sustainability. In Zimbabwe, the USAID | DELIVER PROJECT (DELIVER) supports the Zimbabwe National Family Planning Council (ZNFPC) in preparing forecasts and supply plans for male and female condoms for HIV prevention and for contraceptives. DELIVER designed and, in partnership with a DFID funded Crown Agents activity, assists the ZNFPC to implement the highly successful delivery team topping up (DTTU) distribution system (less than 5% stock out rates for condoms). With USAID funded SCMS Project assistance this system also distributes HIV rapid tests, PMTCT more efficacious regimens (MER), POC CD4 reagents and consumables, and EID bundles. With Child Survival funding DELIVER assisted the MOHCW to pilot test in one province a system in which TB drugs and Malaria ACTs and RDTs were managed on a DTTU type system called the Zimbabwe Informed Push (ZIP) system. The MOHCW is now using this system nationwide. VEHICLES: Purchased/leased under this mechanism from the start of the mechanism through COP FY2011= 16. New requests in COP FY 2012 = 0. Total planned/purchased/leased vehicles for the life of this mechanism = 16

Funding for Strategic Information (HVSI): $120,000

HVSI Strategic Information

In FY 2012, DELIVER will continue to implement the Top Up LMIS and the AutoDRV, its new automated data capture system, which combines the use of rugged laptops during deliveries with a software version of the DTTU paper Delivery Requisition Vouchers (DRVs). AutoDRV automates the calculations needed to determine the correct quantity of each health commodity to be delivered, reducing both time spent on site and calculation errors. After each delivery run, the data is imported directly into the DTTUs main LMIS for review and reporting, shortening data-entry time from three weeks per province to two days. The project has upgraded the AutoDRV software.

DELIVER will also upgrade the Top Up software, which houses the data for all commodities currently carried by the DTTU. More recently the MOHCW and NatPharm are using the Top Up software to manage the data for the TB and Malaria commodities distributed on the ZIP system and the data for the Primary Health Care Packages (PHCP) which contain 38 essential primary health care medicines and medical supplies for health centers.

Funding for Health Systems Strengthening (OHSS): $300,000

In FY 2012, DELIVER, with co-funding from DFID through Crown Agents, will ensure the availability of male and female condoms and oral and injectable contraceptives to public sector consumers by assisting the Zimbabwe National Family Planning Council (ZNFPC) in implementing the Delivery Team Topping Up (DTTU) distribution system. Since its inception in 2004, this system routinely achieves over 95% coverage of public sector outlets and maintains stock out rates below 5% for male condoms. The performance indicator for this activity is to keep stock out rates for male condoms below 5%. For FY11 the stock out rate was below 2%.

Because of the continuing success of the DTTU distribution system in the very difficult Zimbabwe operating environment, the national AIDS program and ZNFPC, assisted by the USAID-funded SCMS Project and DELIVER linked HIV rapid test and PMTCT NVP distribution and reporting to this system in 2008 and have achieved the same high levels of site coverage and low stock out rates for HIV rapid tests and NVP. During 2009 and 2010, with funding from the SCMS Project, PMTCT MER ARV drugs were added to the DTTU system. In FY 11 POC CD4 reagent cartridges and consumables and EID bundles were added to the DTTU distribution system.

The DTTU system will distribute approximately 60 million male condoms, 4 million female condoms, 8 million cycles of combined oral contraceptives, 4.5 million cycles of progestin only oral contraceptives, and 800,000 vials of injectable contraceptives to 1,500 health centers and hospitals and 300 community-based distributors in FY 2012.

In addition to its HIV-funded DTTU delivery activities, DELIVER is also assisting the MOHCW and NatPharm to operate the ZIP distribution system for TB drugs and malaria ACTs & RDTs with DELIVERs Child Survival and Malaria funding.

Cross Cutting Budget Categories and Known Amounts Total: $82,000
Human Resources for Health $82,000
Key Issues Identified in Mechanism
enumerations.Malaria (PMI)
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning